1. Home
  2. Directory
  3. Louisiana
  4. Denham Springs
  5. Clinic Center
  6. NPI Profile

EBONY C JACKSON LLC
NPI 1821470188
Clinic/Center - Adolescent and Children Mental Health in Denham Springs, LA

Active since June 23, 2015
23791 SOUTHPOINT DR, DENHAM SPRINGS, LA 70726(225) 369-2617 Get Directions Write a Review

NPPES record last updated: June 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ebony C Jackson Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONY C JACKSON LLC (NPI 1821470188) is a healthcare organization registered as an adolescent and children mental health in Denham Springs, Louisiana and active in the NPI registry since June 2015. The organization lists Ebony Conerly Jackson, Social Worker, as its authorized official.

NPPES Registry Identity

NPI1821470188
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameEBONY C JACKSON LLC
Location Address23791 SOUTHPOINT DRDenham Springs, LA 70726-6856
Mailing Address23791 Southpoint DrDenham Springs, LA 70726-6856 · (225) 369-2617
Phone(225) 369-2617
Organization SubpartNo
Authorized OfficialEbony Conerly JacksonSocial Worker · (225) 284-6249
Enumeration DateJune 23, 2015
✔ NPI 1821470188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in LA · 9158
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
23791 SOUTHPOINT DR, Denham Springs, LA 70726
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EBONY CONERLY JACKSON LCSW, BACS
Social Worker (Clinical)
23791 SOUTHPOINT DR
DENHAM SPRINGS, LA 70726
Livingston Parish (225) 284-6249

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebony C Jackson LLC's NPI number?

The NPI number for Ebony C Jackson LLC is 1821470188. It was assigned to this organization in the NPPES registry on June 23, 2015.

Where is Ebony C Jackson LLC located?

Ebony C Jackson LLC is located at 23791 Southpoint Dr, Denham Springs, LA 70726. The listed phone number is (225) 369-2617.

What is Ebony C Jackson LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Ebony C Jackson LLC was last updated on June 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.